What are the responsibilities and job description for the Bus Info Consultant position at Elevance Health?
- Location: Virginia, Richmond
- Job Family: RDA > Business/Health Info
- Type: Full time
- Date Posted: Jun 21, 2022
- Req #: PS72576
Description
LOCATION – REMOTE
BENEFITS ANALYST III
Build the Possibilities. Make an extraordinary impact.
Responsible for identifying complex business needs and translates the needs into application software requirements in support of operations, productions and projects.
- Designs and builds new complex non-standard benefit plans, reviews and analyze benefit summaries; and identifies best approach to code/develop benefits to achieve optimum adjudication levels.
- Maintains avoidance to negative financial, regulatory, and operational impact.
- Performs testing and quality assurance of new product developed.
- Research and analysis of RFP proposals, and product projects.
- Create and maintain issue log on appropriate tool, resolve defects based on knowledge and analysis of system functionality.
- Researches and responds to complex inquiries from various departments.
- May consult with and mentoring of less experienced team members.
- Serves as trainer for standard and highly customized benefit configuration.
- Represents department in production related meetings including product development, design and implementation.
- Must be able to perform all duties of lower level positions as directed by management.
- Requires a BA/BS in a related field and minimum of 3 years experience in claims processing, previous medical health care, analytical experience, or project management experience, or 5 years of benefit coding experience; or any combination of education and experience, which would provide an equivalent background.
- WPD and/or WGS Knowledge, Benefits and claim knowledge is a plus.
- Background in working directly with groups and/or Account Management, exceptional research skills, and ability to work independently is required.
Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Be part of an Extraordinary Team
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.
We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Elevance Health approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.ElevanceHealthinc.com. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.
